Dennis Kordich, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901013080 Issued in MI

Practice address

201 S Michigan Ave
Big Rapids, MI 49307-1809

Phone

(231) 796-4747

Fax

(231) 796-5711

NPI assigned

Jul 31, 2006

Last updated

May 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Big Rapids Family Dental PLC

  • General Practice Dentistry
  • Big Rapids, MI
  • NPI 1376230979
  NPD
• Alex T Gould DMD PLC

  • General Practice Dentistry
  • Reed City, MI
  • NPI 1265064976
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1639185085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MICHIGAN AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "49307",
            "telephone_number": "231-796-4747",
            "fax_number": "231-796-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MICHIGAN AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071809",
            "telephone_number": "231-796-4747",
            "fax_number": "231-796-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDICH",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901013080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2901013080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Michael Killian, CNP
• Tyler Kime, PHARM.D.
• Thomas Francis Klimek, OD
• Grace Lynn Knapp
• Jennifer Lynn Kohn
• Diane Marie Kordie-Trowbridge
• John Joseph Kozlowski IV, FNP
• Brandy Jo Krikke, LPN
• Holli Marie Krol, LLMSW
• Barbara Diane Kronerlowery

• Dentist in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.